|Número de publicación||US7513904 B2|
|Tipo de publicación||Concesión|
|Número de solicitud||US 10/592,986|
|Número de PCT||PCT/RU2004/000095|
|Fecha de publicación||7 Abr 2009|
|Fecha de presentación||15 Mar 2004|
|Fecha de prioridad||15 Mar 2004|
|También publicado como||EP1726317A1, EP1726317A4, EP1726317B1, US20070167958, WO2005087283A1|
|Número de publicación||10592986, 592986, PCT/2004/95, PCT/RU/2004/000095, PCT/RU/2004/00095, PCT/RU/4/000095, PCT/RU/4/00095, PCT/RU2004/000095, PCT/RU2004/00095, PCT/RU2004000095, PCT/RU200400095, PCT/RU4/000095, PCT/RU4/00095, PCT/RU4000095, PCT/RU400095, US 7513904 B2, US 7513904B2, US-B2-7513904, US7513904 B2, US7513904B2|
|Inventores||Marlen Andreevich Sulamanidze, Georgiih Marlenovich Sulamanidze|
|Cesionario original||Marlen Andreevich Sulamanidze, Georgiih Marlenovich Sulamanidze|
|Exportar cita||BiBTeX, EndNote, RefMan|
|Citas de patentes (11), Citada por (46), Clasificaciones (11), Eventos legales (1)|
|Enlaces externos: USPTO, Cesión de USPTO, Espacenet|
This case is the U.S. national phase of International Application No. PCT/RU2004/000095 filed Mar. 15, 2004.
The invention concerns the field of medicine, materials and methods for esthetic surgery. In particular, the invention concerns medical materials used in plastic surgery in cosmetic operations.
Surgical threads for cosmetic surgery are known, they are manufactured from various materials: metal, polymer, and biological materials. The general characteristics of the threads are: toughness, a smooth surface, biological inactivity. Recently, threads with microscopic angular protrusions have been suggested and used, which allow to run the threads through the tissues in one direction only.
Depending on the character of the surgery, various surgical threads are used. These are wire threads: of tantalum, gold, nickel and others. Non-metallic threads used are manufactured of lavsan, nylon, capron, polypropylene, vicryl, polysorb, and other materials.
A correction of facial wrinkles when the elasticity of the skin is diminished and lost and ptosis (hanging) of soft tissues is one of the basic problems of cosmetic surgery. To this end, surgical threads without protrusions are utilized in esthetic surgery only to lay surgical sutures in open wounds. Thus, dislocated soft tissues can only be tightened and sewn up after corresponding cuts have been made and skin-fat patches have been mobilized.
Threads with protrusions allow to tighten and fix soft tissues without surgical cuts. Methods for placing such threads through skin punctures by means of special needles have been devised and are used. Such interventions enable to obtain a sufficiently good tightening of the soft tissues of the lateral areas of the eyebrows, the areas of the cheekbone, mental and submental areas and to create good esthetic outlines of these parts of the face. This is achieved because in these areas of the face there is little activity of the muscles effecting chewing and facial expression, so that the protrusions are not affected by them and the fixation of the tightened tissues is stable. Moreover when such threads are arranged in places where an activity of the muscles takes place they do not yield lasting and stable results: In the next 10-14 days following their deployment, a relapse occurs, i.e. a dislocation of the soft tissues, since the natural activity of the muscles leads to a weakening of the protrusions and even causes them to be torn off. These are:
the forehead area for lifting the eyebrows and the area of the nose bridge, and together with them the skin of the upper eyelids;
the corner of the mouth for lifting the soft tissues of the areas around the mouth and for removing “worry” wrinkles;
the cheeks, for lifting the soft tissues of these areas;
the neck, for lifting the neck skin and to straighten out wrinkles of the neck skin.
The closest to the invention in terms of subject matter are the surgical threads for cosmetic surgery according to WO 03/103733. These threads are manufactured with notches on their surface, the notches being made with the objective of using these threads.
The objective of the invention is achieved in that a thread for cosmetic surgery, manufactured from a metal, polymer or biological material with elements for fixing subcutaneous tissues is manufactured in a helical shape in the form of a compression or extension spring having an outer diameter of the helix of 0.5 to 5 mm and a thread material diameter of 0.1 to 1 mm. The method for carrying out cosmetic surgery using the surgical thread comprising its introduction into subcutaneous tissues with the aim of tightening and fixing them is characterized in that the helix shaped thread in the form of a compression or extension spring is attached with its front end to the sharp end of a puncture needle, the thread is tightly wound on the needle and the needle with the thread is introduced in an extended state along the body of the needle as a compression spring and in a compressed state as an extension spring, into a subcutaneous cell following a marked outline, and after reappearance of the needle, the thread is unfastened, the needle is completely extracted, while the thread remains subcutaneous in a stressed state with a tendency to compress or extend under the influence of spring properties, the subcutaneous fat cell compresses in accordance with the state of the thread, thus creating an effect of tightening ptosis-affected tissues, wherein the needle is turned during its introduction following the loop windings of the thread, while it is turned in the opposite direction during its extraction. According to another version of introducing the thread into subcutaneous tissues, its fastening can be carried out in the opening of the puncture needle with a gap between the diameter of the helix and the inner wall of the needle of the order of 0.2 mm to 2 mm.
Depending on the character of the operation, subcutaneous tissues can be fixed in an intended area. To this end, two parallel threads are introduced, then their ends are moved towards each other, joined to one another, sunk underneath the skin, and an integral construction is created, tightening the ptosis-affected tissues.
Hereinafter the invention will be explained by drawings, in which:
The helix shaped surgical thread 1 is manufactured from a metal, polymer or biological material. Depending on the character of the cosmetic operation, threads of various dimensions are used. The diameter 2 of the helix can range from 0.5 to 5 mm, while the diameter of the material 3 of the thread can range from 0.1 mm to 1 mm. The character of the operation determines the use of threads of the corresponding materials. The surgical thread-helixes are made with properties of compression or extension springs. The threads are provided with spring properties by means of heat treatment, varying in accordance with the thread material.
The wide range of cosmetic operations and of the places where they are carried out in a patient also demand different methods of their implementation. The helix shaped thread is introduced into the subcutaneous soft tissues by means of the puncture needle 4. The thread is wound on the thin needle from the outside in such a way that each loop 5 tightly abuts the neighboring loops. The front end 6 of the thread is fastened to the sharp end 7 of the needle. When the helix is introduced with the properties of the compression spring, it is extended along the body 8 of the needle by 2-3 times, and the second end 9 of the thread is fastened to the other end 10 of the puncture needle 4. If the helix relaxes, it remains short.
In the extended state, the thread-helix is introduced subcutaneously into the soft tissues in the following manner:
The skin is punctuated by the sharp end of the needle, and the needle is drawn subcutaneously along a previously marked outline, wherein it is helix introduced in the manner of a gimlet, turning along the winding of the loop 5 of the thread. In the required place the sharp end of the needle 4 reappears on the surface of the skin 11 and the end of the thread 9 is held by pincers or a clamp. Further, the needle is completely extracted from the subcutaneous cell carefully in helical movements but in the opposite direction with respect to its introduction, while the thread-spring 1 remains subcutaneous in a stressed state, that is, with a tendency to compress under the influence of the spring properties. According to the state of the thread the subcutaneous fat cell is compressed, thus creating a tightening effect on the ptosis-affected tissues.
Another operation method is characterized in that the thread-helix 1 is placed in the opening 12 of the puncture needle 4 with a gap 13 between the diameter of the helix and the inner wall of the needle of the order of 0.2 mm to 2 mm, and the needle with the thread is introduced into the subcutaneous tissues. In the described methods, the application of the thread-helix can be carried out with the properties of a compression and extension spring. When using the thread-helix with the properties of an extension spring, it is compressed during the subcutaneous introduction into the soft tissues, while after the extraction of the needle the thread-helixes with the tendency to extend remains in the subcutaneous soft tissues.
Another example of the application of the method consists in that two thread-helixs 14, 15 are introduced subcutaneously in parallel, thereafter their ends 16, 17 are guided towards each other subcutaneously, are joined at 18, 19 and form an integral construction tightening the ptosis-affected tissues. This intervention makes it possible to evenly tighten the soft tissues in an upward direction and thereby obtain an effect of straightening out wrinkles and creases of the skin. The movements of the face skin caused by facial expression, the process of chewing food and even a skin massage do not result in a loss of the obtained effect, since the thread-springs in the subcutaneous cell extend and compress together with the extension and compression of the skin, retaining their previous form. Thereafter these threads are covered with fibrous tissue which helps to stabilize the obtained effect. A number of these threads introduced subcutaneously in the required sections of the ageing face create a rejuvenating effect.
As shown in the description, the invention can be utilized widely in various cosmetic and plastic surgery operations either alone or in combination with other surgical interventions.
When using helix-shaped threads, in many cases the necessity to do major surgical operations of the rhytidoplastic type will no longer arise. Interventions utilizing such threads are easy and bloodless, they do not leave scars, can be done ambulatory under local anesthetic and with a short recovery time. They can be combined with planting threads with notches and other minimally invasive interventions and procedures which are applied in cosmetic surgery.
|Patente citada||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US5217494 *||5 Abr 1991||8 Jun 1993||Coggins Peter R||Tissue supporting prosthesis|
|US5810851 *||5 Mar 1996||22 Sep 1998||Yoon; Inbae||Suture spring device|
|US6485504 *||22 Jun 2000||26 Nov 2002||James A. Magovern||Hard or soft tissue closure|
|US6663633 *||25 Oct 2000||16 Dic 2003||Pierson, Iii Raymond H.||Helical orthopedic fixation and reduction device, insertion system, and associated methods|
|US20030074021 *||17 Sep 2002||17 Abr 2003||Morriss John H.||Remotely anchored tissue fixation device|
|US20070233276 *||4 Jun 2007||4 Oct 2007||Restore Medical, Inc.||Tongue implant|
|RU2121311C1||Título no disponible|
|RU2135109C1||Título no disponible|
|RU2139734C1||Título no disponible|
|RU2195186C2||Título no disponible|
|WO2003103972A1||4 Jun 2003||18 Dic 2003||Tonejet Limited||Ejection method and apparatus|
|Patente citante||Fecha de presentación||Fecha de publicación||Solicitante||Título|
|US7996967||4 Ago 2010||16 Ago 2011||Quill Medical, Inc.||System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size|
|US7996968||16 Ago 2011||Quill Medical, Inc.||Automated method for cutting tissue retainers on a suture|
|US8011072||4 Ago 2010||6 Sep 2011||Quill Medical, Inc.||Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size|
|US8015678||13 Sep 2011||Quill Medical, Inc.||Method for cutting a suture to create tissue retainers of a desired shape and size|
|US8020263||20 Sep 2011||Quill Medical, Inc.||Automated system for cutting tissue retainers on a suture|
|US8028387||4 Ago 2010||4 Oct 2011||Quill Medical, Inc.||System for supporting and cutting suture thread to create tissue retainers thereon|
|US8028388||4 Ago 2010||4 Oct 2011||Quill Medical, Inc.||System for cutting a suture to create tissue retainers of a desired shape and size|
|US8032996||13 May 2004||11 Oct 2011||Quill Medical, Inc.||Apparatus for forming barbs on a suture|
|US8083770||27 Dic 2011||Quill Medical, Inc.||Suture anchor and method|
|US8246652||4 Ago 2010||21 Ago 2012||Ethicon, Inc.||Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations|
|US8394112 *||22 Oct 2009||12 Mar 2013||Cayenne Medical, Inc.||Arthroscopic suture passing devices and methods|
|US8460338||13 Jun 2012||11 Jun 2013||Ethicon, Inc.||Self-retainers with supporting structures on a suture|
|US8615856||30 Ene 2009||31 Dic 2013||Ethicon, Inc.||Apparatus and method for forming self-retaining sutures|
|US8641732||25 Feb 2009||4 Feb 2014||Ethicon, Inc.||Self-retaining suture with variable dimension filament and method|
|US8652170||4 Ago 2010||18 Feb 2014||Ethicon, Inc.||Double ended barbed suture with an intermediate body|
|US8679158||4 Ago 2010||25 Mar 2014||Ethicon, Inc.||Multiple suture thread configuration with an intermediate connector|
|US8690914||4 Ago 2010||8 Abr 2014||Ethicon, Inc.||Suture with an intermediate barbed body|
|US8721664||12 Mar 2013||13 May 2014||Ethicon, Inc.||Suture methods and devices|
|US8721681||30 Jun 2009||13 May 2014||Ethicon, Inc.||Barbed suture in combination with surgical needle|
|US8734485||4 Ago 2010||27 May 2014||Ethicon, Inc.||Sutures with barbs that overlap and cover projections|
|US8747437||4 Ago 2010||10 Jun 2014||Ethicon, Inc.||Continuous stitch wound closure utilizing one-way suture|
|US8764776||4 Ago 2010||1 Jul 2014||Ethicon, Inc.||Anastomosis method using self-retaining sutures|
|US8764796||10 Feb 2006||1 Jul 2014||Ethicon, Inc.||Suture method|
|US8771313||19 Dic 2008||8 Jul 2014||Ethicon, Inc.||Self-retaining sutures with heat-contact mediated retainers|
|US8777987||26 Sep 2008||15 Jul 2014||Ethicon, Inc.||Self-retaining sutures including tissue retainers having improved strength|
|US8777988||4 Ago 2010||15 Jul 2014||Ethicon, Inc.||Methods for using self-retaining sutures in endoscopic procedures|
|US8777989||4 Ago 2010||15 Jul 2014||Ethicon, Inc.||Subcutaneous sinusoidal wound closure utilizing one-way suture|
|US8793863||11 Abr 2008||5 Ago 2014||Ethicon, Inc.||Method and apparatus for forming retainers on a suture|
|US8795332||30 Sep 2002||5 Ago 2014||Ethicon, Inc.||Barbed sutures|
|US8821540||4 Ago 2010||2 Sep 2014||Ethicon, Inc.||Self-retaining sutures having effective holding strength and tensile strength|
|US8852232||4 Ago 2010||7 Oct 2014||Ethicon, Inc.||Self-retaining sutures having effective holding strength and tensile strength|
|US8875607||30 Ene 2009||4 Nov 2014||Ethicon, Inc.||Apparatus and method for forming self-retaining sutures|
|US8876865||14 Abr 2009||4 Nov 2014||Ethicon, Inc.||Self-retaining sutures with bi-directional retainers or uni-directional retainers|
|US8915943||3 Abr 2008||23 Dic 2014||Ethicon, Inc.||Self-retaining systems for surgical procedures|
|US8916077||19 Dic 2008||23 Dic 2014||Ethicon, Inc.||Self-retaining sutures with retainers formed from molten material|
|US8926659||20 Dic 2010||6 Ene 2015||Ethicon, Inc.||Barbed suture created having barbs defined by variable-angle cut|
|US8932328||3 Nov 2009||13 Ene 2015||Ethicon, Inc.||Length of self-retaining suture and method and device for using the same|
|US8961560||16 Dic 2010||24 Feb 2015||Ethicon, Inc.||Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods|
|US9044225||12 Ene 2012||2 Jun 2015||Ethicon, Inc.||Composite self-retaining sutures and method|
|US9125647||20 Feb 2009||8 Sep 2015||Ethicon, Inc.||Method and apparatus for elevating retainers on self-retaining sutures|
|US9232940||11 Mar 2013||12 Ene 2016||Cayenne Medical, Inc.||Methods for repairing soft tissue using arthroscopic suture passing devices|
|US9248580||22 Dic 2011||2 Feb 2016||Ethicon, Inc.||Barb configurations for barbed sutures|
|US20100114123 *||22 Oct 2009||6 May 2010||Cayenne Medical, Inc.||Arthroscopic suture passing devices and methods|
|US20110257581 *||19 Abr 2010||20 Oct 2011||Gold Thread Llc||Filament Implant System and Method|
|US20130018415 *||17 Ene 2013||Rebeccah Brown||Synthetic collagen threads for cosmetic uses including skin wrinkle treatments and associated methods|
|USRE45426||31 Jul 2001||17 Mar 2015||Ethicon, Inc.||Surgical methods using one-way suture|
|Clasificación de EE.UU.||606/224, 606/204.35|
|Clasificación internacional||A61B17/06, A61L17/00, A61B17/00, A61L17/04|
|Clasificación cooperativa||A61B2017/06052, A61B2017/00792, A61B17/06166, A61B2017/06171|